Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $111.28 / $550.89	Facility		$55.65	$111.28	$550.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $6,610.80	Professional		$55.65	$56.20	$6,610.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $88.89 / $199.26	Facility		$59.04	$88.89	$199.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $57.17 / $109.11	Professional		$55.09	$57.17	$109.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $57.10 / $63.67 / $100.00	Facility		$57.10	$63.67	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $59.54 / $116.42	Professional		$56.70	$59.54	$116.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $52.50 / $55.65	Facility		$52.50	$52.50	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $68.25	Professional		$55.65	$55.65	$68.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $51.85 / $51.97 / $70.15	Professional		$51.85	$51.97	$70.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $66.78 / $122.43	Professional		$50.09	$66.78	$122.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $259.25 / $278.25	Facility		$75.00	$259.25	$278.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,122.62 / $2,122.62 / $2,122.62	Professional		$2,122.62	$2,122.62	$2,122.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $106.53 / $106.53	Professional		$51.97	$106.53	$106.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $56.20 / $91.10	Facility		$55.65	$56.20	$91.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $67.92	Professional		$55.65	$55.65	$67.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $69.77 / $69.77 / $69.77	Professional		$69.77	$69.77	$69.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $55.65 / $83.47	Professional		$44.52	$55.65	$83.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $99.35	Professional		$55.65	$55.65	$99.35